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Texas rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Facilitymedian $2,754 · 10th–90th $513–$8,3180%5%10th90th$2,754Professionalmedian $479 · 10th–90th $347–$8130%10%10th90th$479$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,951.21 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,168.69 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $691.83
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $933.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,890.45 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $602.56 / $3,019.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $295.12 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $933.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,630.78 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $478.63 / $489.78